HomeMy WebLinkAboutSeptic New 15 Apple Tree Lane TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut d
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date+dosal'syste
A permit is requested for repair or construction of an individual sewagm concerning which the
following information is submitted:
i. Owner of Propert ,_ J,-J Address of Owneiy "S f'1bn!a l c� ),
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2. Location of Property Yee Lot. No. 7
3. Type of Structure,- e welling,CoMmercial Budding,Sftrle,etc.) No. of Bedrooms_
4. Number of Families or Persons to Occupy Premises_ --!r-
5. Plumbing Fixtures: Water Closets Urinals Lavatories_ athtubs__J_____,
Showers_ Kitchen Sinks_. Laundry Tubs Garbage Grinder Other - L, h w
6. Liquid Capacity of Septic Tank
A f Material of Septic Tank Ct-.., Y t4
7. Soil Conditions: Type of Soil 1yu ce 2nn Maximum ground water table
San avel,Clay,e .)
8. If not served by public water supply: Distance from Owner's well from adjacent wells
9. Distance to nearest water course, drainage 'ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
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12. Leaching System: Number of trenches Length y Width 3 / Total d
Other
Signat
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued' )J _ ' ''ate -1�` B - Ft
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Installation Completed, Inspected and"Approved r
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